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CH04907J COMMUNITY HEALTH CENTERS OF PINELLAS, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTERS OF PINELLAS, INC.
Subdivision Name
Evara Health - Bayfront
Type
HRSA-Funded Health Center
Site ID
BPS-H80-012952
340B ID
CH04907J
Grant Number
H80CS00463
Additional Details
Current Program Status
Active
Registration Date
9/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/13/2012
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Community Health Centers of Pinellas, Inc.
Elodie Leigh Dorso, CEO
(727) 824-8100
Primary Contact
Community Health Centers of Pinellas, Inc
Edward Kucher, CRO
(727) 824-8100
Addresses
Street Address
701 Sixth Street South SPC 741
St Petersburg, FL 33701
Billing Address
CHCP - Evara Health
14100 58th Street North
Clearwater, FL 33760
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/6/12 - Reviewed registration and forwarded to IS for approval.
11/06/2012
April 2025
April 2025
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